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Deficiency Records for Booker Hospital District Dba: Twin Oaks Manor
View the most recent health deficiencies and inspection results for Booker Hospital District Dba: Twin Oaks Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Booker Hospital District Dba: Twin Oaks Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-04-30 | 2025-06-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-04-30 | 2025-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-30 | 2025-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-30 | 2025-06-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-30 | 2025-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-14 | 2024-04-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-03-14 | 2024-04-27 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-03-14 | 2024-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-14 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2023-12-16 | Y |